| NPI | 1346549516 |
|---|---|
| Former Name | JESSICA LEIGH WYNALEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MI 4301115253) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: OH 35.123201) |
| 208000000X Pediatrics (Licence: MI 4301115253) | |
| Enumeration Date | 2011-03-27 |
| Last Update Date | 2020-02-25 |