NPI | 1215225024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY 277259) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301098038) |
174400000X Specialist (Licence: MI 4301098038) | |
2080P0210X Pediatrics, Pediatric Nephrology (Licence: MI 4301098038) | |
Enumeration Date | 2011-07-13 |
Last Update Date | 2014-11-20 |