| NPI | 1235183195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: VA 0102201803) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102201803) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2009-08-17 |