| NPI | 1255356440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO1817) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME DO1817) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-02-03 |