| NPI | 1669715744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 281662) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A120416) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2020-03-30 |