| NPI | 1326239872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: FL ME98967) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME98967) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2020-12-04 |