| NPI | 1346604675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61184388) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WA OP61184388) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2024-02-01 |