| NPI | 1548622715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: WI 77301) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: WI 77301) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2022-10-20 |