| NPI | 1750841284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: PA Os023164) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS023164) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2024-03-01 |