| NPI | 1336533546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: CO DR.0060282) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0060282) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2021-04-12 |