| NPI | 1366856692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: MD D0082521) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0082521) |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2022-12-28 |