| NPI | 1205096336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: GA 080360) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NC 2012-01786) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2018-06-22 |