| NPI | 1134583479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C7-0006185) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT211318) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-06-21 |