NPI | 1326420795 |
---|---|
Former Name | CATHERINE LOIS BEAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: SD 12682) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA PGY.202905) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2021-11-26 |