NPI | 1134143571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00170000) |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: TX 5013) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2015-02-18 |