NPI | 1659599728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: AZ 2043) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 208) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2014-05-13 |