| NPI | 1770858995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.128278) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.128278) |
| 208000000X Pediatrics (Licence: VT 042.0013129) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2020-09-29 |