NPI | 1497075410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 02005701A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 250143) |
207Q00000X Family Medicine (Licence: IN 02005701A) | |
207QS0010X Family Medicine, Sports Medicine (Licence: NY 250143) | |
Enumeration Date | 2010-06-02 |
Last Update Date | 2024-04-05 |