Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 000092 | CT |
NPI | 1083785851 |
---|---|
Provider Name | Sharon Dru De Kadt |
First Address | Woodbridge, CT 06525 |
Second Address | Woodbridge, CT 06525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 23/09/2021 |