| NPI | 1679133789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A176966) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CO DR.0078136) |
| 208000000X Pediatrics (Licence: CO DR.0078136) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2026-08-25 |