| NPI | 1376978098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 19598) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 29470R) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2019-07-28 |