| NPI | 1972615052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MA 242003) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD11111) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: RI MD11111) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-10-28 |