| NPI | 1720320021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 330566-01) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 330566-01) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2026-07-31 |