| NPI | 1407947880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: DE C10004110) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C10004110) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-09-02 |