| NPI | 1194710087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX 42612) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD38699) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2022-01-10 |