| NPI | 1144411133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY 269053) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.200366) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: LA 200366) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2013-05-15 |