| NPI | 1669881959 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PR 19674) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 19674) | 
| Enumeration Date | 2014-08-12 | 
| Last Update Date | 2021-09-21 |