| NPI | 1366029167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: FL OS23454) |
| Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: CT 82438) |
| 207P00000X Emergency Medicine (Licence: CT 82438) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2026-05-20 |