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 |