| NPI | 1588084347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics Sports Medicine (Licence: PA MD474504) |
| Additional Taxonomies | 2080S0010X Pediatrics Sports Medicine (Licence: NY 288147) |
| 2080S0010X Pediatrics Sports Medicine (Licence: DE C1-0024352) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2021-08-05 |