| NPI | 1396087771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: VA 0101256771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101256771) |
| 208D00000X General Practice (Licence: VA 0101256771) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2024-09-26 |