| NPI | 1730611260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MA 282857) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 282857) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: RI MD19375) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-08-06 |