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 |