| NPI | 1427184480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: CA A112444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A112444) |
| 207Q00000X Family Medicine (Licence: CA A112444) | |
| 207QS0010X Family Medicine, Sports Medicine (Licence: CA A112444) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2015-07-05 |