| NPI | 1083789960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics Pediatric Nephrology (Licence: VA 0101250269) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME EC-05-049) |
| 208000000X Pediatrics (Licence: OH 35.091531) | |
| Enumeration Date | 2006-11-23 |
| Last Update Date | 2011-09-29 |