NPI | 1275852139 |
---|---|
Former Name | REBECCA MEGAN ORTOLANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NE 26754) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NE 26754) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-05-18 |
Last Update Date | 2022-08-18 |