NPI | 1487041596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PR 21131) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 21131) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0008177) | |
Enumeration Date | 2015-04-16 |
Last Update Date | 2021-07-06 |