| NPI | 1760735542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX P7477) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10037358) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MT205903) | |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2022-10-25 |