NPI | 1275064776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: KY 58108) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0089359) |
208000000X Pediatrics (Licence: KY R4564) | |
Enumeration Date | 2017-03-26 |
Last Update Date | 2023-06-20 |