NPI | 1861700627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175F00000X Naturopath (Licence: VT 0990134041) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD c0004153) |
363A00000X Physician Assistant (Licence: GA 8387) | |
Enumeration Date | 2010-09-15 |
Last Update Date | 2020-03-11 |