| NPI | 1548381544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA7490) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CA PA790) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-11 |