| NPI | 1003107418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: NE 26894) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 26894) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2025-07-03 |