NPI | 1053705368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CA A154686) |
Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NM MD2022-0095) |
208000000X Pediatrics (Licence: CA A154686) | |
Enumeration Date | 2015-03-25 |
Last Update Date | 2025-04-01 |