| NPI | 1487921664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CT 53408) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 258654-1) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2014-08-10 |