| NPI | 1316530181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: CA DC36033) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 14701) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-12-08 |