| NPI | 1609192970 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 133N00000X Nutritionist (Licence: NH 1120493)  | 
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NH 1120493)  | 
| Enumeration Date | 2010-04-12 | 
| Last Update Date | 2010-04-14 |