| NPI | 1225675358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: NC LAT-4037) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL AL-6213) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2022-08-31 |