| NPI | 1215287644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X (Licence: IL 038012243) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: IL 038012243) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-11-10 |