| NPI | 1770812943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR MD27475) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OR MD27475) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2012-07-31 |