| NPI | 1215971734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OK 1906) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 1906) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2012-11-12 |