| NPI | 1629221551 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61118555) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 36879530) | 
| 207RN0300X Internal Medicine, Nephrology (Licence: DC MD040473) | |
| Enumeration Date | 2008-10-22 | 
| Last Update Date | 2021-04-21 |