NPI | 1013027077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MD442530) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20008019) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A100442(CALIFORNIA)) | |
208000000X Pediatrics (Licence: CA A100442(CALIFORNIA)) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2013-04-16 |