| NPI | 1003032202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: SC 35031) |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine (Licence: SC 35031) |
| 208100000X Physical Medicine & Rehabilitation (Licence: LA 204632) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: SC 35031) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-10-20 |