NPI | 1023479920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: OR MD203324) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2019-01459) |
Enumeration Date | 2016-03-19 |
Last Update Date | 2022-06-10 |