| NPI | 1295025963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME DO2624) |
| Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine (Licence: ME DO2624) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2025-04-02 |