| NPI | 1225569270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: NY 315580) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.070099) |
| 207PS0010X Emergency Medicine, Sports Medicine (Licence: DC MD049148) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-07-19 |