NPI | 1154762417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AL MD.40977) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.40977) |
Enumeration Date | 2013-07-15 |
Last Update Date | 2020-08-12 |