| NPI | 1316579246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 869707) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1104634) |
| 175F00000X Naturopath (Licence: MT AHC-NAT-LIC-2121) | |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2024-12-02 |