| NPI | 1962409029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0006700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0006700) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2017-04-28 |