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 |