| NPI | 1235260480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: MO 2000163872) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: KS 31371) |
| 207Q00000X Family Medicine (Licence: KS 31371) | |
| 207Q00000X Family Medicine (Licence: MO 2000163872) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |