NPI | 1568727600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IL 921) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2012022304) |
Enumeration Date | 2012-07-04 |
Last Update Date | 2019-09-10 |