| NPI | 1609003334 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME118587) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091961) | 
| Enumeration Date | 2009-06-21 | 
| Last Update Date | 2019-06-03 |