| NPI | 1275945115 |
|---|---|
| Former Name | ROZALYN JESSIE LEVINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CT 56362) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2020-06-11 |