| NPI | 1104030907 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1677)  | 
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 13112)  | 
| 171100000X Acupuncturist (Licence: OR AC01217)  | |
| Enumeration Date | 2007-05-10 | 
| Last Update Date | 2011-03-30 |