| NPI | 1922394360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 4301098226) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301098226) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301098226) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2022-07-21 |