| NPI | 1902883754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AZ 37587) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 40553) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2017-12-01 |