| NPI | 1659502763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO3748) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TX P6712) |
| 207Q00000X Family Medicine (Licence: FL OS10510) | |
| 207Q00000X Family Medicine (Licence: TX P6712) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2024-02-27 |