NPI | 1508165093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: CA 14145) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NV DO1896) |
Enumeration Date | 2011-03-23 |
Last Update Date | 2019-09-13 |