| NPI | 1912055252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: VA 0101043890) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101043890) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2024-08-19 |