| NPI | 1639616436 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 4057) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC196824) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2024-11-27 |