| NPI | 1447678495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: WA 61346087) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 019856) |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2024-05-03 |