| NPI | 1366534893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: AZ DO2849) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ DO2849) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-04-09 |