NPI | 1982859427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A106106) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A106106) |
207QS0010X Family Medicine, Sports Medicine (Licence: CA A106106) | |
Enumeration Date | 2008-11-25 |
Last Update Date | 2024-04-27 |