| NPI | 1588081145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics Sports Medicine (Licence: PA OS018767) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: PA OS018767) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2020-08-26 |