| NPI | 1750458329 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD30286879)  | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD157887)  | 
| Enumeration Date | 2006-11-29 | 
| Last Update Date | 2016-09-13 |