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 |