| NPI | 1669735783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: KY 53101) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 53101) |
| 208000000X Pediatrics (Licence: KY TP642) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 183693) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2021-09-03 |