| NPI | 1629042254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2015041192) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD065328L) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: KS 0438671) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2016-03-04 |