| NPI | 1710013057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: FL me118709) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL me118709) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2023-08-02 |