Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 34.010822 | OH |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 34.010822 | OH |
NPI | 1083870919 |
---|---|
Provider Name | Pauline Daniels |
First Address | Liberty Twp, OH 45011-2696 |
Second Address | Cincinnati, OH 45227-1543 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2008 |
Last Update Date | 13/03/2018 |