| NPI | 1841358462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: DE C10003417) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: DE C10003417) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2013-04-17 |