| NPI | 1497723076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: OH 35.093069) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.093069) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2018-03-17 |