| NPI | 1063293215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 1454) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA 1454) |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |