| NPI | 1629598115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 77701) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301113139) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2024-08-20 |