| NPI | 1184932634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 10903) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 10903) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2014-11-01 |