| NPI | 1801017264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: HI 17729) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.011922) |
| 208000000X Pediatrics (Licence: OH 57.011922) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: UT 4880063-1205) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: UT 4880063-8905) | |
| 2080H0002X (Licence: HI 17729) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-09-15 |