| NPI | 1356364830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A60119) |
| Additional Taxonomies | 2080S0010X Pediatrics Sports Medicine (Licence: CA A60119) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-11-30 |