| NPI | 1336758309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083S0010X Preventive Medicine, Sports Medicine (Licence: CO AT.0001657) |
| Additional Taxonomies | 2083S0010X Preventive Medicine, Sports Medicine (Licence: CO 0001657) |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |