| NPI | 1417410705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine (Licence: MO 2024037892) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MO 2024037892) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2024-11-27 |