| NPI | 1033126552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: VA 0102201933) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102201933) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2025-09-11 |