NPI | 1700134293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61260915) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.152627) |
207RN0300X Internal Medicine, Nephrology (Licence: WI 72878) | |
Enumeration Date | 2012-08-15 |
Last Update Date | 2024-09-24 |