NPI | 1265783039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA A122929) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A122929) |
Enumeration Date | 2012-09-20 |
Last Update Date | 2019-09-18 |