NPI | 1265465215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 5101014683) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101014683) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2023-06-29 |