| NPI | 1265758130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: CO 6497) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NE 1611) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |