| NPI | 1649625286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OK 6207) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 6207) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2023-02-10 |