| NPI | 1568136687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: AL 2547) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: AL 2547) |
| 2083S0010X Preventive Medicine, Sports Medicine (Licence: AL 2547) | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-08-03 |