| NPI | 1275522401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 199512) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 199512) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: PA OS013500) | |
| 207Q00000X Family Medicine (Licence: PA OS013500) | |
| 207QA0000X Family Medicine Adolescent Medicine (Licence: PA OS013500) | |
| 207QA0505X Family Medicine Adult Medicine (Licence: PA OS013500) | |
| 207QA0505X Family Medicine Adult Medicine (Licence: NY 199512) | |
| 207QS0010X Family Medicine Sports Medicine (Licence: NY 199512) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NY 199512) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: NY 199512) | |
| 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine (Licence: NY 199512) | |
| 2083S0010X Preventive Medicine Sports Medicine (Licence: NY 199512) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2013-03-08 |