| NPI | 1073860169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 60863) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: LA 335355) |
| 207RN0300X Internal Medicine, Nephrology (Licence: LA MD.019129) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 283746) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2023-04-05 |