NPI | 1447461520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 48619) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 48619) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 232402) | |
Enumeration Date | 2007-05-24 |
Last Update Date | 2023-11-21 |