| NPI | 1588602619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NV 4217) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV 4217) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |