| 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 |