NPI | 1174742704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NJ 25MB07928000) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 225372) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2007-07-08 |