Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1568666071 |
---|---|
Provider Name | Ms. Linda Sue Boorn |
First Address | Denver, CO 80203-3394 |
Second Address | Denver, CO 80203-3394 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 08/07/2007 |