| NPI | 1053558569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C10007929) |
| Additional Taxonomies | 208D00000X General Practice (Licence: DE C10007929) |
| 208000000X Pediatrics (Licence: DE C1-0007929) | |
| 208000000X Pediatrics (Licence: MD D0023716) | |
| 208000000X Pediatrics (Licence: DC MD11527) | |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2011-10-26 |