| NPI | 1184171522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: WA CH61090945) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2016031306) |
| 111NN1001X Chiropractor, Nutrition (Licence: PA DC011267) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-07-07 |