| NPI | 1275305674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OH 50.008496RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.008496RX) |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2024-05-31 |