NPI | 1174985998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.155827) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT017265) |
207RN0300X Internal Medicine, Nephrology (Licence: MA 279360) | |
Enumeration Date | 2016-03-22 |
Last Update Date | 2021-07-07 |