| NPI | 1790979979 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.122590)  | 
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A112541)  | 
| 208000000X Pediatrics (Licence: CA A112541)  | |
| Enumeration Date | 2007-08-30 | 
| Last Update Date | 2014-01-08 |