Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 099.0116347 | VT |
NPI | 1033580287 |
---|---|
Provider Name | Courtney Ann Bowers |
First Address | Middlebury, VT 05753-1370 |
Second Address | Middlebury, VT 05753-1370 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2015 |
Last Update Date | 14/10/2015 |