| NPI | 1063604726 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IA 38776)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 38776)  | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1-0024170)  | |
| Enumeration Date | 2007-08-15 | 
| Last Update Date | 2019-07-03 |