NPI | 1124218482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN 48895) |
Additional Taxonomies | 2080H0002X (Licence: TN 48895) |
208000000X Pediatrics (Licence: NJ 25MA08273700) | |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D67521) | |
Enumeration Date | 2007-08-01 |
Last Update Date | 2020-11-19 |