NPI | 1942683487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A145461) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: CA A145461) |
Enumeration Date | 2015-07-01 |
Last Update Date | 2019-08-07 |