| NPI | 1477650497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: IN 08001638) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: MN 3169) |
| 111NN1001X Chiropractor, Nutrition (Licence: WI 3054) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-09-17 |