| NPI | 1093291627 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 96805) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.245803) | 
| 207R00000X Internal Medicine (Licence: FL me148584) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME148584) | |
| Enumeration Date | 2018-07-17 | 
| Last Update Date | 2023-08-17 |