| NPI | 1992942502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: SC 31408) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 31408) |
| 207P00000X Emergency Medicine (Licence: SC 31408) | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2023-02-22 |