| NPI | 1306388095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 4166) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC189838) |
| 171100000X Acupuncturist (Licence: WA AC60805981) | |
| 175F00000X Naturopath (Licence: WA NT 60703113) | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2018-11-13 |