NPI | 1649590274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: CA 12650) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 12650) |
Enumeration Date | 2010-06-05 |
Last Update Date | 2010-06-05 |