| NPI | 1609366194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 68091) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CT 68091) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2024-08-31 |