| NPI | 1659456549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY 215560) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NJ 25MA077762) |
| 208000000X Pediatrics (Licence: NY 215560) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2013-03-26 |