NPI | 1841408747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TX N5467) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 64511) |
207Q00000X Family Medicine (Licence: TX N5467) | |
207QS0010X Family Medicine, Sports Medicine (Licence: AZ 64511) | |
207QS0010X Family Medicine, Sports Medicine (Licence: SC 93411) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2024-10-11 |