| NPI | 1861443608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: WI 46208) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: WI 46208) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-06-17 |