| NPI | 1861842643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CT 72299) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT210429) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MT210429) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2022-11-15 |