| NPI | 1477724821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60150783) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: WA md60150783) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2014-06-09 |