| NPI | 1285765461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WV 4480) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34008849) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2025-07-29 |