| NPI | 1801258157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A178409) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 64099) |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2023-06-01 |