| NPI | 1114366192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 20A16780) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A16780) |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2026-05-07 |