| NPI | 1679557474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PR 012902) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 12902) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2026-05-04 |