| NPI | 1831575158 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D88391)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D88391)  | 
| 207R00000X Internal Medicine (Licence: PA MT209312)  | |
| Enumeration Date | 2015-08-10 | 
| Last Update Date | 2022-06-30 |