| NPI | 1942652714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 307867) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 307867) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2023-07-07 |