| NPI | 1962704130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CT 000442) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 000529) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2012-09-24 |