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 |