| NPI | 1801824347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 011632) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MI 011632) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |