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 |