| NPI | 1811158827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NJ 25MB12319000) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: PA OT011952) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: PA OS016075) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2024-12-18 |