| NPI | 1639460579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: TN 64254) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 64254) |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: NC 173602) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TN 64254) | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2024-04-03 |