| NPI | 1639538143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL OS14936) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: FL OS14936) |
| 207Q00000X Family Medicine (Licence: FL OS14936) | |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2021-01-31 |