NPI | 1962644831 |
---|---|
Former Name | HOLLY IVALON ELMORE GERMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175F00000X Naturopath |
Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: CA ND360) |
207QA0505X Family Medicine Adult Medicine (Licence: CO ND147) | |
Enumeration Date | 2009-03-24 |
Last Update Date | 2018-05-21 |