NPI | 1174023451 |
---|---|
Former Name | STEPHANIE URBANOVITCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 19-1766) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: KS 21-A0001-9) |
175F00000X Naturopath (Licence: KS 21-00048) | |
Enumeration Date | 2018-02-13 |
Last Update Date | 2020-09-08 |