| NPI | 1659659357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX R6281) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 275637) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2020-02-18 |