| NPI | 1902018377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2010010943) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 0433236) |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2010-08-17 |