| NPI | 1851824700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 81010) |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: TN 4462) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2023-07-27 |