| NPI | 1205076247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PR 18250) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 18250) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2015-10-19 |