| NPI | 1780676056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NJ MA080095) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: NY 226092) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2015-08-06 |