| NPI | 1437412954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MD456081) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MD D92775) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2021-11-30 |