| NPI | 1205100161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME 111780) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME111780) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2019-12-12 |