| NPI | 1164785861 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 299852)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD455582)  | 
| Enumeration Date | 2012-06-19 | 
| Last Update Date | 2019-07-30 |