| NPI | 1962950691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CT 00612) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 000609) |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2022-11-04 |