| NPI | 1174730519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 20540) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MS 20540) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2022-07-27 |