| NPI | 1285011395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: AZ 56161) |
| Additional Taxonomies | 207PS0010X Emergency Medicine Sports Medicine (Licence: AZ 56161) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: AZ 56161) | |
| 207X00000X Orthopaedic Surgery (Licence: AZ 56161) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2022-07-01 |