| NPI | 1619120607 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: AZ 57521) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT194036) | 
| Enumeration Date | 2008-11-04 | 
| Last Update Date | 2019-08-23 |