NPI | 1578977336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A18772) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 5101021134) |
207Q00000X Family Medicine (Licence: MI 5101021134) | |
Enumeration Date | 2014-06-19 |
Last Update Date | 2021-09-07 |