| NPI | 1952664518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX R7818) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R73275) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2020-05-26 |