| NPI | 1174903835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 19566) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19566) |
| 282N00000X General Acute Care Hospital (Licence: PR 19566) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2024-02-06 |