| NPI | 1417304338 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 16-1544)  | 
| Additional Taxonomies | 208D00000X General Practice (Licence: AZ 16-1544)  | 
| Enumeration Date | 2016-05-20 | 
| Last Update Date | 2016-12-06 |