| NPI | 1235673104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: VT 099.0134070) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0128582) |
| 183500000X Pharmacist (Licence: MA PH233696) | |
| 183500000X Pharmacist (Licence: CT PCT.0012489) | |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2019-03-11 |