| NPI | 1407087349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: AZ 09-1106) |
| Additional Taxonomies | 2083S0010X Preventive Medicine, Sports Medicine (Licence: AZ 09-1106) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2011-06-22 |