Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 000360 | CT |
NPI | 1144348905 |
---|---|
Provider Name | Melissa Robinson |
First Address | Stamford, CT 06906 |
Second Address | Stamford, CT 06906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 08/07/2007 |