| NPI | 1568877991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2024-02494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC MD51172) |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC MD51172) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 2024-02494) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2025-04-15 |