| NPI | 1770642621 |
|---|---|
| Former Name | CAROL ANN GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: OR 1519) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 10311) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2024-02-02 |