| NPI | 1548316508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO1436) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 261095) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME DO1436) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2021-05-04 |