| NPI | 1982344073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WI 85891) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 74826) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2025-06-05 |