| NPI | 1710544366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NH 35133) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP04521) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2025-07-29 |