| NPI | 1356608368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OH 34.016182) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME DO2535) |
| 207Q00000X Family Medicine (Licence: ME DO2535) | |
| Enumeration Date | 2012-04-15 |
| Last Update Date | 2022-12-27 |