NPI | 1609025915 |
---|---|
Former Name | MAGGIE C. EIDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL ME94494) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 237351) |
Enumeration Date | 2008-09-10 |
Last Update Date | 2023-04-28 |