| NPI | 1811357981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 20A22298) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 5101022354) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2024-04-15 |