| NPI | 1972765048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME110946) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GU M-1865) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: GU M-1865) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2021-03-17 |