| 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 |