| NPI | 1568876597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL TRN28176) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD461939) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN28176) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2021-07-15 |