NPI | 1780071027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY 325422) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0084824) |
2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MD474299) | |
Enumeration Date | 2015-04-24 |
Last Update Date | 2024-11-14 |