| NPI | 1427184480 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: CA A112444) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A112444) | 
| 207QS0010X Family Medicine, Sports Medicine (Licence: CA A112444) | |
| 207R00000X Internal Medicine (Licence: CA A112444) | |
| Enumeration Date | 2007-02-26 | 
| Last Update Date | 2024-12-17 |