| NPI | 1689871576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301090364) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MI 4301090364) |
| 2080S0010X Pediatrics, Sports Medicine (Licence: MI 4301090364) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2024-12-20 |