| NPI | 1760102727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083S0010X Preventive Medicine, Sports Medicine (Licence: FL 17348) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: TN 7735) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |