| 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 |