| NPI | 1609168483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: GA 77850) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: PA MT205493) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2024-01-26 |