| NPI | 1285601955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556116) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: VA 0104556116) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2023-02-07 |