| NPI | 1518316652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102205597) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA OT020045) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2023-08-23 |