| NPI | 1740484559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C10010301) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME98073) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2013-06-19 |