| NPI | 1679870588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX P2512) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P2512) |
| Enumeration Date | 2011-02-13 |
| Last Update Date | 2017-02-08 |