| NPI | 1801893367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI DO00496) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: RI DO00496) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: RI DO00496) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2023-01-18 |