| NPI | 1265809537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: NM MD2022-0654) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00007178) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2024-05-20 |