NPI | 1629287065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: TN MD52168) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX L9642) |
2080P0216X Pediatrics, Pediatric Rheumatology (Licence: TX L9642) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2022-03-31 |