| NPI | 1619297686 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 35163)  | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 35163)  | 
| 207RN0300X Internal Medicine, Nephrology (Licence: FL ME137929)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-01 | 
| Last Update Date | 2019-01-22 |