NPI | 1194843292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 252268) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 252268) |
207R00000X Internal Medicine (Licence: NY 252268) | |
Enumeration Date | 2007-03-27 |
Last Update Date | 2022-10-17 |