NPI | 1689932576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 61256) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: WI 61256) |
Enumeration Date | 2012-04-27 |
Last Update Date | 2021-02-01 |