| NPI | 1790147007 |
|---|---|
| Former Name | MEGHAN BETH COURBANOU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MA 1018113) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: TX S1915) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2024-02-01 |