NPI | 1144889445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A192742) |
Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: CA A192742) |
207R00000X Internal Medicine (Licence: CA A192742) | |
Enumeration Date | 2019-06-10 |
Last Update Date | 2024-04-27 |