| NPI | 1588768907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101054623) |
| Additional Taxonomies | 208D00000X General Practice (Licence: DE C1-0012057) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2024-03-28 |