| NPI | 1639792021 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AL MD.46131) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.46131) | 
| Enumeration Date | 2020-05-20 | 
| Last Update Date | 2023-06-22 |