| NPI | 1003201393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX S9149) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: ND LT23037) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2025-10-08 |