| NPI | 1932547197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WA ML60461254) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125063631) |
| 208000000X Pediatrics (Licence: WA ML 60461254) | |
| 208000000X Pediatrics (Licence: AK 110167) | |
| 208000000X Pediatrics (Licence: WA 60737660) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-09-21 |