| NPI | 1639434376 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MT 67624) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5315055621) | 
| 208000000X Pediatrics (Licence: MT 67624) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WI 4476) | |
| Enumeration Date | 2012-07-09 | 
| Last Update Date | 2024-08-14 |