| NPI | 1922281617 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60218136)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 0000000)  | 
| Enumeration Date | 2007-12-17 | 
| Last Update Date | 2015-10-19 |