| NPI | 1164683439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: AL 29937) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: AL MD.29937) | |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2014-08-19 |