| NPI | 1780817809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IA 4455) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101018236) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 5101018236) | |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2013-07-23 |