NPI | 1588629208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR DO159587) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA A208316) |
207Q00000X Family Medicine (Licence: CA 20 A8316) | |
Enumeration Date | 2006-04-18 |
Last Update Date | 2013-10-22 |