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 |