| NPI | 1417237116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: OH 131231) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2018-03-17 |