| NPI | 1326488578 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 51045)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 256031)  | 
| Enumeration Date | 2013-07-02 | 
| Last Update Date | 2018-04-11 |