| NPI | 1407480643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0110008101) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA0613558) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2026-03-10 |