| NPI | 1356484299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X008264) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NY X008264) |
| 133N00000X Nutritionist (Licence: NY 005972) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |