| NPI | 1235201435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: MA 224336) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 224336) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2013-03-26 |