NPI | 1235438698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: TN 57260) |
Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: TX Q1322) |
Enumeration Date | 2011-03-23 |
Last Update Date | 2020-07-29 |