| NPI | 1851425060 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301080745) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301080745) | 
| Enumeration Date | 2007-03-16 | 
| Last Update Date | 2012-04-09 |