| 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 |