| 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 |