| NPI | 1265902555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI DOS-2427-0) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: HI DOS-2427-0) |
| 207Q00000X Family Medicine (Licence: HI DOSR-503) | |
| 207Q00000X Family Medicine (Licence: OH 34.016481) | |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2025-01-23 |