NPI | 1932464500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OK 5681) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 5681) |
Enumeration Date | 2012-07-10 |
Last Update Date | 2023-01-19 |