| NPI | 1659824415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 1027427) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 35149R) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2026-06-22 |