| NPI | 1467878850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 13502829-1205) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 2009) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2023-08-17 |