| NPI | 1639788029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2024014909) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351046257) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2024014909) | |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2024-05-07 |