| NPI | 1407471410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AL 202362) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: AL 202362) |
| 175F00000X Naturopath (Licence: AL 202362) | |
| 207N00000X Dermatology (Licence: AL 202362) | |
| 207Q00000X Family Medicine (Licence: AL 202362) | |
| 225700000X Massage Therapist (Licence: AL 1147) | |
| 225700000X Massage Therapist (Licence: CA 52070) | |
| 261QG0250X (Licence: AL 202362) | |
| 261QR1100X Clinic/Center, Research (Licence: AL 202362) | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |