NPI | 1033475702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A135049) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 565948) |
Enumeration Date | 2012-04-07 |
Last Update Date | 2020-08-25 |