| NPI | 1043299720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MT 10352) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 10352) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2020-02-27 |