NPI | 1316285844 |
---|---|
Former Name | JENNIFER LYNN BENNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60318653) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: WA AC60331115) |
Enumeration Date | 2013-01-17 |
Last Update Date | 2015-11-03 |