| NPI | 1790928364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX N2234) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N2234) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: GA 68850) | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2021-01-04 |