NPI | 1164869541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: PA MD466805) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MD466805) |
Enumeration Date | 2013-05-26 |
Last Update Date | 2021-12-21 |