| NPI | 1356970842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine Sports Medicine (Licence: CA 20A22925) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 13270654-1204) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2025-02-25 |