| NPI | 1003501628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C2-0024930) |
| Additional Taxonomies | 208D00000X General Practice (Licence: DE C2-0024930) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2026-07-16 |