| NPI | 1093755498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A142122) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 1424) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 256493) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-03-01 |