| NPI | 1669842522 |
|---|---|
| Former Name | LOREN ELIZABETH BANACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 3028) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC174668) |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2015-10-03 |