| NPI | 1477643799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CO 41577) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: AZ 2588) |
| 208D00000X General Practice (Licence: CO 41577) | |
| 208D00000X General Practice (Licence: AZ 2588) | |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2010-01-26 |