| NPI | 1467629097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: FL ME174644) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME174644) |
| 207PS0010X Emergency Medicine, Sports Medicine (Licence: AL 33305) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2025-07-09 |