| NPI | 1679599559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME33571) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: FL me33571) |
| 207Q00000X Family Medicine (Licence: FL me33571) | |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: FL me33571) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: FL me33571) | |
| 207QS0010X Family Medicine, Sports Medicine (Licence: FL me33571) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL me33571) | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: FL me33571) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-02-18 |