| NPI | 1336412352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 14123) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME DO2459) |
| 207Q00000X Family Medicine (Licence: MN 64569) | |
| 207Q00000X Family Medicine (Licence: ME DO2459) | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2021-02-25 |