| NPI | 1215069760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C20008723) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0003279) |
| 208D00000X General Practice (Licence: DE C20008723) | |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2011-10-26 |