| NPI | 1669853602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IL 036.148852) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301107322) |
| 207R00000X Internal Medicine (Licence: IL 036.148852) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2023-06-07 |