| NPI | 1740421312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 20A11378) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A11378) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2019-06-11 |