| NPI | 1447209028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: OR 16560) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OR MD16560) |
| 207PS0010X Emergency Medicine, Sports Medicine (Licence: OR 16560) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2017-02-04 |