| NPI | 1174904767 |
|---|---|
| Former Name | JESSICA LANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 69913) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-067112) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: WI 69913) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2020-03-06 |