NPI | 1922406792 |
---|---|
Former Name | CHRISTY SABRINA MASBAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175F00000X Naturopath (Licence: OR 4041) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC179408) |
175F00000X Naturopath (Licence: AZ 14-1475) | |
Enumeration Date | 2014-12-10 |
Last Update Date | 2018-06-01 |