| 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 |