| NPI | 1477752327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 5101017185) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101017185) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2018-10-22 |