| NPI | 1427218833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 275336) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 050185) |
| 2080S0010X Pediatrics, Sports Medicine (Licence: CT 050185) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2025-09-11 |