| NPI | 1720092018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NV 14146) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 30956) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2025-10-09 |