NPI | 1558517144 |
---|---|
Former Name | LATANIA K. BROYLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: GA 92099) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-113313) |
2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: IL 036-113313) | |
Enumeration Date | 2008-08-14 |
Last Update Date | 2022-06-29 |