| NPI | 1639330673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 54906-20) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D75840) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2018-03-17 |