NPI | 1134236201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL OS6343) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS6343) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2018-03-17 |