| NPI | 1356683247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: MD D0094868) |
| Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine (Licence: CA A150134) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2024-01-09 |