| NPI | 1538615034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: MN 1110) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: OR 4080) |
| 171100000X Acupuncturist (Licence: MN 1948) | |
| 171100000X Acupuncturist (Licence: OR 179755) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2020-06-19 |