| NPI | 1639740939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2026-01177) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.251132) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MT231815) | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2026-06-01 |