| NPI | 1659865459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 330031) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD049286) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2025-02-19 |