NPI | 1811230048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D89060) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 63291) |
Enumeration Date | 2013-04-06 |
Last Update Date | 2020-07-29 |