| NPI | 1558624726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: SC 34885) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 34885) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2021-05-19 |