| NPI | 1033419882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2013017840) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57-018714) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2015-09-01 |