Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60407802 | WA |
NPI | 1093143380 |
---|---|
Provider Name | Dr. Michelle Minshall |
First Address | Seattle, WA 98107-4535 |
Second Address | Seattle, WA 98107-4535 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2013 |
Last Update Date | 12/10/2015 |