| NPI | 1902191083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MA 1025492) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD224559) |
| 207R00000X Internal Medicine (Licence: CA A131259) | |
| 207R00000X Internal Medicine (Licence: WA MD61294207) | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2026-01-07 |