Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1023439296 |
---|---|
Provider Name | Rosanna Gorman |
First Address | Highlands Ranch, CO 80130 |
Second Address | Highlands Ranch, CO 80130-5859 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2013 |
Last Update Date | 13/12/2013 |