| NPI | 1871753665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: TX Q7027) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q7027) |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2024-12-03 |