| NPI | 1871884213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 283808) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 274893) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2022-07-21 |