| NPI | 1922141316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MA 230777) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 230777) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2012-08-28 |