| NPI | 1780650861 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WI 44896-20) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 44896-20) | 
| Enumeration Date | 2006-02-27 | 
| Last Update Date | 2021-01-11 |