| NPI | 1356419535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 1430) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: MA 1598) |
| 111NN1001X Chiropractor, Nutrition (Licence: MA 1430) | |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: MA 1598) | |
| 133N00000X Nutritionist (Licence: MA 1598) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2022-10-19 |