| NPI | 1255884359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MO 2019000490) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2016021991) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2021-09-17 |