| NPI | 1861561581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: ME MD20452) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: CA A100878) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A100878) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2017-04-27 |