| NPI | 1265775217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: SC 40747) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME127680) |
| 207P00000X Emergency Medicine (Licence: SC 40747) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2023-03-29 |