| NPI | 1750621983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 216594) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0000644) |
| 207RI0200X Internal Medicine Infectious Disease (Licence: PA SP013472) | |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2019-07-10 |