| NPI | 1336100510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 4733) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL UO1480) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2022-08-22 |