| NPI | 1780868620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 55199) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 235882) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 235882) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2024-02-17 |