| NPI | 1689774382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: GA 056229) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 056229) |
| 208000000X Pediatrics (Licence: FL ME151097) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME151097) | |
| 2080B0002X Pediatrics, Obesity Medicine (Licence: FL ME151097) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME151097) | |
| 208D00000X General Practice (Licence: GA 056229) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-06-18 |