| NPI | 1245559632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 03474) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: KY 03474) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2014-07-11 |