| NPI | 1225248875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA C162911) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C162911) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CT 52045) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-04-16 |