NPI | 1407056419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: VA 0102037169) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102037169) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2007-07-19 |