| NPI | 1104111939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: WA 60457123) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA a122484) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2018-09-14 |