| NPI | 1417298811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 20A15641) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL OS13126) |
| Enumeration Date | 2013-03-09 |
| Last Update Date | 2019-05-08 |