| NPI | 1689053522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: SC 82255) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2018-01266) |
| 208000000X Pediatrics (Licence: SC MDO82255LL) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2022-08-15 |