| NPI | 1497785810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A9078) |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: CA 20A9078) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-02-18 |