| NPI | 1700995073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TX P8827) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00041921) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: WA MD00041921) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-02-24 |