NPI | 1336626753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY 331412-01) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 331412-01) |
Enumeration Date | 2018-07-27 |
Last Update Date | 2024-08-16 |