NPI | 1104289461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080T0002X Pediatrics, Medical Toxicology (Licence: MA 288309) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 288309) |
Enumeration Date | 2016-04-03 |
Last Update Date | 2022-08-31 |