| NPI | 1023160744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: NY X004913-1) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 003765-1) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |