| NPI | 1912583550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL Os21227) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL os21227) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2025-10-10 |