| NPI | 1629466495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11046430) |
| Additional Taxonomies | 175F00000X Naturopath |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2026-06-05 |