NPI | 1659461390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: DE C10005390) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE C10005390) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2011-09-19 |