| NPI | 1760018642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A184727) |
| Additional Taxonomies | 207RS0010X Internal Medicine Sports Medicine (Licence: CA A184727) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-07-11 |