| NPI | 1407142979 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301099002) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301099002) | 
| Enumeration Date | 2011-06-23 | 
| Last Update Date | 2016-10-13 |