| NPI | 1841392651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: IL 036-116659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-116659) |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: MO 2019014134) | |
| 207RS0010X Internal Medicine, Sports Medicine (Licence: TX U1387) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2023-07-27 |