| NPI | 1255482477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0066396) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 1807) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: VA 0102201945) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MD H0066396) | |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-12-05 |