| NPI | 1306543806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.013399) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CT 5.000726) |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2025-01-23 |