| NPI | 1720405285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: WA 60875688) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60469289) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: AK 166975) | |
| Enumeration Date | 2014-03-23 |
| Last Update Date | 2021-04-08 |