| NPI | 1740642545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: WA ML60657296) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60657296) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-01-04 |