| NPI | 1104002864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2011-01798) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086590) |
| Enumeration Date | 2008-01-12 |
| Last Update Date | 2013-05-01 |