| NPI | 1366485039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI CV053752) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI CV053752) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-02-04 |