| NPI | 1720237696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX Q3851) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.014466) |
| 208000000X Pediatrics (Licence: TX Q3851) | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2015-09-10 |