NPI | 1558793034 |
---|---|
Former Name | TERRA DALLMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath (Licence: ND 2017-02) |
Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 13-1372) |
175F00000X Naturopath (Licence: CA ND774) | |
Enumeration Date | 2013-08-06 |
Last Update Date | 2019-09-10 |