NPI | 1730374224 |
---|---|
Former Name | LISA CHRISTINE STANICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath (Licence: CA 68) |
Additional Taxonomies | 172P00000X Naprapath (Licence: CA ND68) |
171100000X Acupuncturist (Licence: CA AC8477) | |
Enumeration Date | 2007-09-08 |
Last Update Date | 2016-03-11 |