| NPI | 1366933004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CO 0066629) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 0066629) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME TP18024) | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2022-09-12 |