| NPI | 1639450380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6529) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CA 31790) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2015-01-16 |