| NPI | 1609156801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WV 30819) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098142) |
| 207R00000X Internal Medicine (Licence: IN 01076456A) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301098142) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2022-01-18 |