NPI | 1285632133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MO 2023011924) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NV 1190) |
204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TX L5358) | |
Enumeration Date | 2005-07-13 |
Last Update Date | 2023-08-31 |