| NPI | 1831541861 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125.069288) | 
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OK 39109) | 
| Enumeration Date | 2016-07-01 | 
| Last Update Date | 2022-10-18 |