NPI | 1083108146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL 154463) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 154463) |
208D00000X General Practice (Licence: PR 21854) | |
Enumeration Date | 2018-06-21 |
Last Update Date | 2024-02-29 |