| NPI | 1770717837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: HI DOS-1371) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE c7-0004245) |
| 208000000X Pediatrics (Licence: DE c7-0004245) | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2022-01-12 |