| NPI | 1629500749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CT 65455) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 65455) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 103465587) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-10-22 |