| NPI | 1982894192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME DO1994) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 243949) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2024-07-24 |