| NPI | 1689838708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics Sports Medicine (Licence: CA A103880) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CO 47974) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2013-12-12 |