| NPI | 1538252101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 2613) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 4112) |
| 111NN1001X Chiropractor, Nutrition (Licence: GA CHIR008084) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |