| NPI | 1710155981 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 07-1002) | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 0581) | 
| Enumeration Date | 2008-02-11 | 
| Last Update Date | 2010-06-21 |