| NPI | 1417269648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PS0010X Emergency Medicine Sports Medicine (Licence: AZ 47529) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 47529) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2021-08-16 |