| NPI | 1831453265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX R5837) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R5837) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2026-06-29 |