| NPI | 1609283969 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 55349)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101262681)  | 
| 207R00000X Internal Medicine (Licence: VA 0116029798)  | |
| 207RN0300X Internal Medicine, Nephrology (Licence: KY TP071)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-18 | 
| Last Update Date | 2021-08-19 |