| NPI | 1265689301 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 319591) | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 64099) | 
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60733508) | |
| Enumeration Date | 2008-08-20 | 
| Last Update Date | 2023-12-12 |