NPI | 1194810697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: CA A80301) |
Additional Taxonomies | 174400000X Specialist (Licence: CA a80301) |
208000000X Pediatrics (Licence: CA A80301) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2022-03-04 |