| NPI | 1134489602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NC 2016-01060) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 183249) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2023-08-22 |