| NPI | 1023310281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 83430) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL OS11407) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: SC 83430) | |
| 207Q00000X Family Medicine (Licence: FL OS11407) | |
| Enumeration Date | 2010-11-21 |
| Last Update Date | 2021-10-29 |