| NPI | 1043697113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: ID 2971396) |
| Additional Taxonomies | 2080B0002X Pediatrics, Obesity Medicine (Licence: CA A151555) |
| 208000000X Pediatrics (Licence: CA A151555) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA A151555) | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2026-06-03 |