| NPI | 1831132083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 25798) |
| Additional Taxonomies | 207RS0010X Internal Medicine Sports Medicine (Licence: AL 25798) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-11-07 |