| NPI | 1629502711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: NY 336216) |
| Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: CA A172542) |
| 207P00000X Emergency Medicine (Licence: CA A172542) | |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2025-07-03 |