| NPI | 1023456332 |
|---|---|
| Professional Name | NONE NONE NONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX R3358) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 0435669104) |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2024-02-21 |