| NPI | 1649618059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: AK 111064) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 111064) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2018-08-06 |