| 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 |