| NPI | 1225211964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2007-00838) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NC 2007-00838) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2021-04-14 |