NPI | 1972985992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 88399) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL TRN28259) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN28259) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 31790R) | |
Enumeration Date | 2015-06-25 |
Last Update Date | 2021-06-11 |