| NPI | 1205127404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0012410) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-37330) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2017-12-26 |