| NPI | 1851825202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: MN 1076) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WI 914-55) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |