| NPI | 1093277899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: GA 11034) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: CA A178138) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-06-28 |