| NPI | 1427218833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 050185) |
| Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine (Licence: CT 050185) |
| 208000000X Pediatrics (Licence: NY 275336) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2022-11-03 |