| 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 |