| NPI | 1235361320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NJ 25MB05620700) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 202359) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 1353) | |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |