| NPI | 1104256577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9644) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 06-966) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2022-07-21 |