| NPI | 1407250772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 2073) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC169326) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2015-01-19 |