| NPI | 1417497439 |
|---|---|
| Former Name | NICOLE WILTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 4056) |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |