| NPI | 1861719510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX Q0969) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A111272) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2023-07-06 |