| NPI | 1205221975 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101282072)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD048187)  | 
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: DC MD048187)  | |
| Enumeration Date | 2015-03-31 | 
| Last Update Date | 2024-04-13 |