| NPI | 1033232269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: VA 0102202407) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0102202407) |
| 208000000X Pediatrics (Licence: PA OT011353) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2019-08-07 |