| NPI | 1801896469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 5101014262) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI BZ014262) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2012-11-08 |