NPI | 1265094999 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.006660RX) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 50.006660RX) |
Enumeration Date | 2019-07-02 |
Last Update Date | 2022-05-26 |