| NPI | 1912285172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60770461) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: SC 34355) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2019-02-19 |