| NPI | 1619293412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: GA 71972) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 56175) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2014-08-05 |