| NPI | 1619915550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR DO210520) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WV 2595) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2022-11-14 |