| NPI | 1962703512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD041898L) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NJ MA52393) |
| Enumeration Date | 2010-11-14 |
| Last Update Date | 2010-11-14 |