| NPI | 1689085524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA 20A17511) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 20A17511) | |
| 207Q00000X Family Medicine (Licence: CA 20A17511) | |
| 207Q00000X Family Medicine (Licence: VA 0102205159) | |
| 207Q00000X Family Medicine (Licence: DC DO034705) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2026-07-10 |