| NPI | 1619389582 |
|---|---|
| Former Name | COURTNEY MARIN GAUNT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 16037) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC180306) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2017-03-15 |