| NPI | 1043257561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 1860) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 1860) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-07-07 |