| NPI | 1699298067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083S0010X Preventive Medicine Sports Medicine (Licence: SC 83102) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME144858) |
| 207PS0010X Emergency Medicine Sports Medicine (Licence: SC 83102) | |
| 207QS0010X Family Medicine Sports Medicine (Licence: SC 83102) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: SC 83102) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2023-03-03 |