| NPI | 1598798357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WV 1220) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 1220) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-09-20 |