| NPI | 1972827756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: TN 49542) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 244214) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 49542) | |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2019-01-10 |