NPI | 1346250602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 6435) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: TX 6435) |
133NN1002X Nutritionist, Nutrition, Education (Licence: TX Board Cert 3918) | |
Enumeration Date | 2006-08-09 |
Last Update Date | 2016-12-05 |