| NPI | 1972764975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD445624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01492) |
| 208000000X Pediatrics (Licence: RI LP01492) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MT201390) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2016-08-05 |