| NPI | 1205055738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354596) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 06-927) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-10-30 |