NPI | 1740470434 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: UT 8334266-1205) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 8334266-1205) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MO 2010017180) | |
Enumeration Date | 2007-07-28 |
Last Update Date | 2022-02-28 |