| NPI | 1912492711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: LA 339409) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 312215-0) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2025-04-10 |