| NPI | 1639434236 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME141641) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301101429) | 
| Enumeration Date | 2012-07-10 | 
| Last Update Date | 2025-08-14 |