| NPI | 1982626370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics Pediatric Nephrology (Licence: NC 200001356) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M2289) |
| 2080P0210X Pediatrics Pediatric Nephrology (Licence: NC 85276) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2014-09-16 |