| NPI | 1306188727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: CA A134068) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A134068) |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: CA A134068) | |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2020-01-10 |