| NPI | 1215136692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 197118-1) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 197118-1) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |