| NPI | 1699024455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NJ 25MB12481100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 266367) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 266367) | |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2025-01-07 |