| NPI | 1730159732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 28133) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: NC 28133) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2014-08-25 |