| NPI | 1790265916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI LP04959) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AZ 80806) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2026-07-30 |