NPI | 1508245689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: LA 323811) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 039.146919) |
Enumeration Date | 2015-05-22 |
Last Update Date | 2021-12-15 |