NPI | 1144681560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OH 34.014662) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.014662) |
Enumeration Date | 2016-03-11 |
Last Update Date | 2020-07-09 |