| NPI | 1770977324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: WA MD60847664) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60847664) |
| Enumeration Date | 2015-03-21 |
| Last Update Date | 2021-08-18 |