| NPI | 1942790928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 64253) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R76717) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2025-07-11 |