| NPI | 1255693172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics Pediatric Rheumatology (Licence: NC 2018-00666) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 126255) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2021-08-10 |