NPI | 1053304311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101256855) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD426805) |
207RN0300X Internal Medicine, Nephrology (Licence: PA MD426805) | |
Enumeration Date | 2005-08-23 |
Last Update Date | 2021-06-07 |