| NPI | 1730421108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 266205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 266205) |
| 208000000X Pediatrics (Licence: WA ML60369116) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2019-05-30 |