| NPI | 1366467508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 1838) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 1838) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-07-23 |