| NPI | 1114602836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171400000X (Licence: GA COSA065559) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: GA COSA065559) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: GA COSA065559) | |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2024-04-17 |