| NPI | 1205243078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: MA 270843) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125065742) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2017-08-14 |