| NPI | 1407197759 |
|---|---|
| Former Name | ELIZABETH A RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: NH 0008) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: WA NT60318789) |
| 175F00000X Naturopath (Licence: MA ND-0029) | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2022-10-24 |