| NPI | 1902391204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 5101025754) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101025754) |
| 207R00000X Internal Medicine (Licence: MI 5101024028) | |
| 208000000X Pediatrics (Licence: MI 5101024028) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2022-07-07 |