| NPI | 1083053722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 281036) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256824) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 293682) | |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2019-09-10 |