NPI | 1801017769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G079569) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: CA G079569) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2011-01-25 |