| NPI | 1609938133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 058925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME92661) |
| 207R00000X Internal Medicine (Licence: PA MD424765) | |
| 207R00000X Internal Medicine (Licence: GA 058925) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2012-11-05 |