NPI | 1134610470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PR 23242) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 14513I) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2023-11-04 |