Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | NE |
NPI | 1770036717 |
---|---|
Provider Name | Roseanne Harter |
First Address | Omaha, NE 68114-4799 |
Second Address | Omaha, NE 68114-4799 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2016 |
Last Update Date | 26/07/2016 |