| NPI | 1356608954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: FL OS15291) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: DE C2-0011975) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2018-08-23 |