| NPI | 1447612288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 278221) |
| Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine (Licence: MA 278221) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-03-27 |