| NPI | 1083097521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: FL OS17693) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO 4550) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2024-07-16 |