| NPI | 1477182756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: MO 2023029950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E16728) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-07-26 |