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 |