| NPI | 1144883950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: PA OS023027) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 58031018) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2023-08-10 |