NPI | 1093175846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083S0010X Preventive Medicine, Sports Medicine (Licence: MO 2016042470) |
Additional Taxonomies | 2083S0010X Preventive Medicine, Sports Medicine (Licence: AL 1634) |
Enumeration Date | 2016-03-07 |
Last Update Date | 2019-02-13 |