NPI | 1427016005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 20A10416) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OH 34006832B) |
207Q00000X Family Medicine (Licence: CA 10416) | |
207Q00000X Family Medicine (Licence: CA 20A10416) | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2019-11-22 |