| NPI | 1811021298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09596) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 05871) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-02-24 |