| NPI | 1780990226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NJ 25MB11829300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS017150) |
| Enumeration Date | 2010-08-22 |
| Last Update Date | 2025-02-03 |