| NPI | 1821417304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX T2602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T2602) |
| 207R00000X Internal Medicine (Licence: TN 57392) | |
| 207R00000X Internal Medicine (Licence: TX BP10049209) | |
| 208000000X Pediatrics (Licence: TX T2602) | |
| 208000000X Pediatrics (Licence: TX BP10049209) | |
| 208000000X Pediatrics (Licence: TN 57392) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2021-07-26 |