| NPI | 1760986475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD474452) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60866223) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MT222214) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2021-06-21 |