NPI | 1295175362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: UT 11768704-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.022468) |
Enumeration Date | 2013-07-03 |
Last Update Date | 2021-11-10 |