| NPI | 1710332218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.44070) |
| Additional Taxonomies | 2080S0010X Pediatrics Sports Medicine (Licence: AL MD.44070) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2022-10-03 |