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 |