| NPI | 1881997716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NH 16816) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 265561) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2015-04-21 |