| NPI | 1710393996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 04820) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34.013280) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: KY 04820) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 34.013280) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2021-01-28 |