| NPI | 1174752547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: MI 4301095192) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301095192) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2017-05-05 |