| NPI | 1720407588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 77453) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 77453) |
| 208D00000X General Practice (Licence: PR 030553-R) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2019-06-17 |