| 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 |