| NPI | 1982108064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: VT 042.0017987) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.141911) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2025-09-18 |