| NPI | 1477819159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60698509) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME DO2508) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: PA OS017398) | |
| 207Q00000X Family Medicine (Licence: ME DO2508) | |
| 207Q00000X Family Medicine (Licence: PA OS017398) | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2019-03-06 |