| NPI | 1730532490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IN 01089880A) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.135796) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT211645) | |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2024-06-06 |