NPI | 1710999867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CA A82795) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A82795) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2024-01-22 |