Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00001604 | WA |
NPI | 1063695047 |
---|---|
Provider Name | Dr. Emily M Gonzalez |
First Address | Seattle, WA 98115-7434 |
Second Address | Seattle, WA 98115-5918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2007 |
Last Update Date | 12/12/2007 |