| NPI | 1063493252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: TX P7516) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 040965) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2023-06-01 |