NPI | 1043314784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 215640) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 215640) |
Enumeration Date | 2006-09-12 |
Last Update Date | 2013-03-26 |