| NPI | 1548349392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS010375L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C20006430) |
| 208D00000X General Practice (Licence: DE C20006430) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2013-12-16 |