NPI | 1376519157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080H0002X (Licence: NJ 25MB06533400) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB06533400) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NJ MB065334) | |
Enumeration Date | 2006-02-23 |
Last Update Date | 2020-11-10 |