| NPI | 1710196068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35132838) |
| Additional Taxonomies | 2080H0002X (Licence: OH 35.132838) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2009014863) | |
| 2080H0002X (Licence: FL TRN#19965) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-04-22 |