NPI | 1194137737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A148158) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: CA A148158) |
Enumeration Date | 2014-06-02 |
Last Update Date | 2019-12-04 |