| NPI | 1003019456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR 16007) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR 16007) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |