| NPI | 1023140605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: PA OS015205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C7-0003459) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2016-02-01 |