| NPI | 1720320021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IA DO-05078) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 6400121) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2022-06-09 |