NPI | 1922232701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: DE C10010128) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT194430) |
Enumeration Date | 2009-05-08 |
Last Update Date | 2013-02-05 |