| NPI | 1063104180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 94) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: PR 94) |
| 175F00000X Naturopath (Licence: PR 94) | |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |