| NPI | 1184814949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: PA MD435045) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C10009101) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2013-10-03 |