NPI | 1588663942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: DE C10006091) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE C1-0006091) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2012-04-04 |