| NPI | 1669090502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.148113) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 12400188-1205) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2025-12-15 |