| NPI | 1144614421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics Pediatric Rheumatology (Licence: WA MD60862298) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A143977) |
| 208000000X Pediatrics (Licence: WA MD60862298) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2021-06-02 |