| NPI | 1497276133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C1-0024303) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 201702265) |
| 208000000X Pediatrics (Licence: DE C1-0024303) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2021-07-07 |