| NPI | 1700113289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: OK 22950) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 22950) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2022-08-30 |