NPI | 1619057973 |
---|---|
Former Name | REBECCA HOLMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: WA MD00048662) |
Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: TX L8090) |
208000000X Pediatrics (Licence: WA MD00048662) | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2014-09-10 |