NPI | 1497105548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX T7021) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016019259) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2022-08-26 |