| NPI | 1720433261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 287264) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 287264) |
| 207R00000X Internal Medicine (Licence: TX S5479) | |
| 208000000X Pediatrics (Licence: MA 287264) | |
| 208000000X Pediatrics (Licence: TX S5479) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX S5479) | |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2021-07-31 |