| NPI | 1285146365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2336674) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 4055) |
| 175F00000X Naturopath (Licence: VT 099.0134136) | |
| 175F00000X Naturopath (Licence: CA 1257) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201709156NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201709158DP) | |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2021-07-31 |