| NPI | 1063808376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: KY 55537) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: KY TP988) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: PA MT215516) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2021-06-25 |