| NPI | 1760652895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WA MD60015843) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 129132) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2014-09-09 |