| NPI | 1184035362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: LA 323809) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 323809) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-10 |
| Last Update Date | 2021-05-27 |