| NPI | 1548632839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CT 000666) |
| Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: CT 000666) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2017-02-10 |