| NPI | 1336286574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics Pediatric Rheumatology (Licence: WA MD00047628) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 24528) |
| 208000000X Pediatrics (Licence: WA MD00047628) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2017-01-03 |