| NPI | 1689967689 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35132424)  | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 075609)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-24 | 
| Last Update Date | 2018-03-17 |