NPI | 1811960206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: FL ME133997) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD418703) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2018-03-17 |