| NPI | 1073083457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083S0010X Preventive Medicine Sports Medicine (Licence: NE 777) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: NE 777) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |