| NPI | 1861577959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: PA MD069374L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD069374L) |
| 208000000X Pediatrics (Licence: DE C10007503) | |
| 2080S0010X Pediatrics, Sports Medicine (Licence: DE C10007503) | |
| 208M00000X Hospitalist (Licence: PA MD069374L) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-07-15 |