| NPI | 1164676375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD041426) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2008032774) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MO 2008032774) | |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2013-08-22 |