| NPI | 1194024059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: FL ME118830) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 260613) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2016-03-14 |