| NPI | 1083979595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0210X Pediatrics Pediatric Nephrology (Licence: MA 262216) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT202032) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2018-05-15 |