| NPI | 1659764538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: PA MD460973) |
| Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NJ 25MA10787900) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2022-07-21 |