| NPI | 1326002676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY TP120) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 5101015187) |
| 207Q00000X Family Medicine (Licence: MI 5101015187) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: KY TP120) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2014-07-16 |