| NPI | 1033197314 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 4316) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC195119) |
| 171100000X Acupuncturist (Licence: WA Ac00000572) | |
| 175F00000X Naturopath (Licence: WA NT00000913) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2023-10-02 |