NPI | 1538574918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME145833) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME145833) |
208000000X Pediatrics (Licence: OH 57.024109) | |
Enumeration Date | 2014-06-24 |
Last Update Date | 2021-07-13 |