| NPI | 1770062630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WI 75236-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301116105) |
| Enumeration Date | 2018-08-11 |
| Last Update Date | 2024-08-13 |