| NPI | 1861416752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TX AP140334) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 05-852) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-10-06 |