| NPI | 1902437536 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WA MD61261131)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| 208000000X Pediatrics (Licence: WA MD61261131)  | |
| Enumeration Date | 2020-02-02 | 
| Last Update Date | 2025-05-02 |