| NPI | 1083606735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IA DO-03030) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 03030) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2022-07-21 |