NPI | 1396003406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: WI 63757) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 63757-20) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2020-10-01 |