| NPI | 1417451139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OR MD219331) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD219331) |
| 208000000X Pediatrics (Licence: WA MD61146986) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-08-07 |