Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 00-595 | AZ |
NPI | 1023558863 |
---|---|
Provider Name | Dr. Karen A Willfahrt |
First Address | Gilbert, AZ 85296-4799 |
Second Address | Gilbert, AZ 85296-4799 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2017 |
Last Update Date | 27/02/2017 |