| NPI | 1952424004 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: CA A74187) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A74187) | 
| Enumeration Date | 2007-04-06 | 
| Last Update Date | 2010-03-10 |