| NPI | 1104881697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD 052098L) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: DC 20729 MD) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D0050568) | |
| 2080S0010X Pediatrics, Sports Medicine (Licence: PA MD 052098L) | |
| 2080S0010X Pediatrics, Sports Medicine (Licence: DC 20729 MD) | |
| 2080S0010X Pediatrics, Sports Medicine (Licence: MD D0050568) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2013-11-21 |