| NPI | 1720423189 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 04280)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101020242)  | 
| Enumeration Date | 2013-04-30 | 
| Last Update Date | 2021-08-05 |