| NPI | 1972159598 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ME MD27593) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.248342) | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT224937) | |
| Enumeration Date | 2019-08-11 | 
| Last Update Date | 2024-07-16 |