Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1154386027 |
---|---|
Provider Name | Dr. Kathleen Patricia Ralston |
First Address | Ellicott City, MD 21042-3755 |
Second Address | Glen Burnie, MD 21061-6900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 08/07/2007 |