| NPI | 1265803761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 31553) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 3045) |
| Enumeration Date | 2015-10-10 |
| Last Update Date | 2024-12-10 |