| NPI | 1972503027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: KY 39289) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: TN 39324) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2007-07-08 |