| NPI | 1821704297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL MA77805) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: FL MA77805) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |