Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT1050 | WA |
NPI | 1013444504 |
---|---|
Provider Name | Heather Greenlee |
First Address | New York, NY 10025-6159 |
Second Address | Seattle, WA 98109-4405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2017 |
Last Update Date | 16/05/2017 |