NPI | 1609056928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q5559) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.013613) |
207RN0300X Internal Medicine, Nephrology (Licence: LA MD203852) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX Q5559) | |
Enumeration Date | 2007-11-05 |
Last Update Date | 2015-08-04 |