| NPI | 1639432958 |
|---|---|
| Former Name | FANNY KIPPELEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 29760) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT201160) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2021-10-12 |