| NPI | 1861072548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0069465) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CO DR.0069465) |
| 202D00000X Integrative Medicine (Licence: CO Dr.0069465) | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2025-12-02 |