| NPI | 1023289881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 004185) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CT 00310) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2013-08-07 |