| NPI | 1063661445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 43697) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT183311) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2012-08-29 |