| NPI | 1841212941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C10006112) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD-072473-L) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-03-07 |