| NPI | 1659631638 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.132742)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02479)  | 
| Enumeration Date | 2012-05-23 | 
| Last Update Date | 2025-11-03 |