| NPI | 1285832469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0011099) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT191364) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: DE C1-0011099) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2014-09-04 |