| NPI | 1285992685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL OS11881) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS11881) |
| 207Q00000X Family Medicine (Licence: TX Q4222) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2019-06-13 |