| NPI | 1811230048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D89060) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 63291) |
| Enumeration Date | 2013-04-06 |
| Last Update Date | 2020-07-29 |