| NPI | 1154099679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD R269724) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP024309) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2025-08-12 |