| NPI | 1265568364 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A43842)  | 
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA A043842)  | 
| Enumeration Date | 2007-02-26 | 
| Last Update Date | 2019-10-09 |