| NPI | 1316140833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C7-0003834) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT011580) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2013-07-05 |