NPI | 1073098596 |
---|---|
Former Name | SUSAN ELIZABETH MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175F00000X Naturopath (Licence: OR 4198) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC191646) |
Enumeration Date | 2018-10-01 |
Last Update Date | 2022-12-16 |