Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 168 | HI |
NPI | 1073657615 |
---|---|
Provider Name | Dr. Bonnie Starr Marsh |
First Address | Haiku, HI 96708-5004 |
Second Address | Haiku, HI 96708-5004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2007 |
Last Update Date | 08/07/2007 |