| NPI | 1104160936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA OP60860142) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OR DO176495) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2021-04-08 |