| NPI | 1356551402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: AZ 7684) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: AZ 4368) |
| 133N00000X Nutritionist | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2018-08-25 |