| NPI | 1790021558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA 645) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: HI 1064) |
| 171100000X Acupuncturist (Licence: CA 16349) | |
| 175F00000X Naturopath (Licence: HI 238) | |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2017-11-29 |