| NPI | 1912957952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0007927) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 072853) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2025-09-10 |