NPI | 1609257971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R3097) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TX R3097) |
207Q00000X Family Medicine (Licence: TX BP10053131) | |
207QS0010X Family Medicine, Sports Medicine (Licence: TX R3097) | |
Enumeration Date | 2015-06-12 |
Last Update Date | 2023-03-31 |