| NPI | 1104004761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: MA 236461) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 236461) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2022-09-15 |