| NPI | 1275007197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191218) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: MD J0000020) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2024-09-16 |