| NPI | 1174804744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: DE C1-0012149) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 277812) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2022-12-07 |