| NPI | 1619004926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 314780) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 314780) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-07-17 |