| NPI | 1871020230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NJ 25MB11944400) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MA ETLL-502) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MA 285135) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT017922) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA ETLL-502) | |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2023-11-29 |