| NPI | 1962844035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WV 27565) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 303662) |
| 207R00000X Internal Medicine (Licence: NY 303662) | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2021-08-03 |