| NPI | 1184842007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 20A11297) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 5101016843) |
| 207Q00000X Family Medicine (Licence: MI 5101016843) | |
| 207Q00000X Family Medicine (Licence: CA 20A11297) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2021-09-22 |