| NPI | 1114953874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME47725) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD-026604-E) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-07-08 |