NPI | 1275852139 |
---|---|
Former Name | REBECCA MEGAN ORTOLANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101277667) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NE 26754) |
Enumeration Date | 2010-05-18 |
Last Update Date | 2024-11-22 |