| NPI | 1811960206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME133997) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD418703) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2018-03-17 |