| NPI | 1578843793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA 20A10616) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A10616) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2023-08-28 |