Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 590 | CT |
N | 175F00000X | Naturopath | ND700 | CA |
NPI | 1093103384 |
---|---|
Provider Name | Dr. Carine Bonnist |
First Address | Norwalk, CT 06855-2837 |
Second Address | Norwalk, CT 06855-2837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2015 |
Last Update Date | 21/11/2016 |