| NPI | 1700997426 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 58447)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 58447)  | 
| Enumeration Date | 2006-08-31 | 
| Last Update Date | 2014-03-04 |