| NPI | 1306307400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: MA 291025) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 291025) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2023-09-21 |