| NPI | 1700853355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY 192719) |
| Additional Taxonomies | 174400000X Specialist |
| 208000000X Pediatrics (Licence: NY 192719) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2014-04-24 |