| NPI | 1679568174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 5101009343) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 5101009343) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2022-06-28 |