| NPI | 1053705368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CA A154686) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A154686) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NM MD2022-0095) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2024-04-11 |