| NPI | 1265541338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: CA A104234) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML20008276) |
| 207R00000X Internal Medicine (Licence: CA A104234) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-05-15 |