| NPI | 1659394021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G59607) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA G59607) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: CA G59607) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-11-27 |