| NPI | 1750812624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX S5895) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: FL 24639) | |
| 208000000X Pediatrics (Licence: TX s5895) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-04-17 |