| 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 |