| NPI | 1902368376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 19-1789) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AZ 191789) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-08-19 |