| NPI | 1407840424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0053961) |
| Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine (Licence: MD D0053961) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2018-03-01 |