| NPI | 1205241122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR MD191182) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD191182) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2020-07-13 |