| NPI | 1649664871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MN 80064) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MN 80064) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2025-10-24 |