| NPI | 1396857033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: SC 25496) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 25496) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-04-27 |