| NPI | 1649699455 |
|---|---|
| Former Name | KACY LEANN BORBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 2022) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC167588) |
| 174400000X Specialist (Licence: OR 20290) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2022-01-28 |