| 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 |