| NPI | 1700291978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AZ 007246) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 007246) |
| 208000000X Pediatrics (Licence: IA R-10114) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2023-05-31 |