| NPI | 1215436308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: PR 24572) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 24572) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2025-08-29 |