| NPI | 1356332845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 31162) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 19061) |
| 208000000X Pediatrics (Licence: GA 054060) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2015-08-24 |