| NPI | 1164469441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME77268) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME77268) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-03-17 |