| NPI | 1962644476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: GA 76309) |
| Additional Taxonomies | 2080H0002X (Licence: GA 76309) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2016-11-03 |