| NPI | 1831178169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: CA CA56047) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C56047) |
| 207Q00000X Family Medicine (Licence: TX U8725) | |
| 207Q00000X Family Medicine (Licence: OR MD214006) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2024-06-21 |