| NPI | 1609877711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35-120007) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 042078) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2013-01-07 |