| NPI | 1629359906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MA 277021) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 277021) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2018-10-19 |