| NPI | 1235455445 |
|---|---|
| Former Name | JESSICA BOBULA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: PA MT205506) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.120771) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2014-12-10 |