| NPI | 1295097376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: PA OS018203) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 278717) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2020-10-13 |