| NPI | 1932125812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C10008189) |
| Additional Taxonomies | 208D00000X General Practice (Licence: DE C10008189) |
| 208000000X Pediatrics (Licence: MO MO105925) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2025-09-15 |