| NPI | 1417933185 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OK 3537)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 3537)  | 
| Enumeration Date | 2005-12-15 | 
| Last Update Date | 2023-02-01 |