| NPI | 1235372608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X011598-1) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NJ CNS14017) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: NJ CNS14017) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2015-04-29 |