| NPI | 1245768951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101026481) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 5101026481) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101023100) | |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2022-07-21 |