| NPI | 1629278171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301091586) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT186623) |
| 208000000X Pediatrics (Licence: MI 4301091586) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2013-05-01 |