| NPI | 1760611388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 53332) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 55081) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2023-04-12 |