| NPI | 1437892478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X (Licence: CA 36268) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CA 36268) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-20 |