| NPI | 1609060953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-35453) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-35453) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2013-01-07 |