| NPI | 1912273855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WA MD60572500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ml60292863) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2018-07-24 |