| NPI | 1285257824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MS 31758) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TN 5246) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 5151014449APP20) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2023-08-04 |